Rescue the child or treat the adult? Understandings among professionals in dual treatment of substance-use disorders and parenting.

Autor: Wiig EM; Universitetet i Oslo Det medisinske fakultet, Oslo, Norway., Halsa A; Høgskolen i Lillehammer, Oppland, Norway., Bramness J; ROP Nasjonal kompetansetjeneste for samtidig rus- og psykisk lidelse, Sykehuset Innlandet HF, Divisjon Psykisk Helsevern, Brumunddal, Norway., Myra SM; Universitetet i Oslo Det medisinske fakultet, Oslo, Norway., Haugland BSM; Uni Research AS, Bergen, Norway.
Jazyk: angličtina
Zdroj: Nordisk alkohol- & narkotikatidskrift : NAT [Nordisk Alkohol Nark] 2018 Jun; Vol. 35 (3), pp. 179-195. Date of Electronic Publication: 2018 Jun 07.
DOI: 10.1177/1455072518773615
Abstrakt: Aims: Dual treatment of parents with substance-use disorders (SUD) is an approach which aims to meet the needs of both SUD patients and their children. Whereas the parents need to learn to live without substances, the children need a predictable and structured environment with parents who are sensitive and psychologically available. In this study we explore the possibilities and challenges of this joint approach from the perspectives of professionals employed in an in-patient facility for families with parental SUD.
Methods: A qualitative design was used comprising three focus-group interviews with 15 professionals: two groups with ward staff and one with therapists, all working at a family ward for parents with SUD and their children. Data were analysed using thematic analysis.
Results: Professionals faced difficulties combining the needs of parents and children and seemed to choose to prioritise either the adult with SUD or the wellbeing of the child. However, some professionals described what might be a third and alternative solution by supporting the mothers in everyday life, routines, and care, through exploring present moment situations. This approach seemed to help parents become more conscious of the child, their interaction with the child, and their own feelings. Professionals described working at the family ward as emotionally challenging.
Conclusion: Combining treatment of parental SUD, interventions to improve parenting roles and practice, and at the same time focusing on the developmental needs of children, is experienced as a complex and demanding task. Different priorities and treatment aims may enhance tensions between professionals. Even though professionals experience in-patient dual treatment as challenging, they believe this approach facilitates positive development in substance dependent parents and their children.
Competing Interests: Declaration of conflicting interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2018.)
Databáze: MEDLINE